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General NPI Number Information
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NPI Number | 1912030297
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Entity Type | Individual
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Provider Name | MEGHAN E MACY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 9784 N ASH AVENUE
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City | KANSAS CITY
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State | MO
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Zip | 64157
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Country | US
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Telephone | 816-781-4244
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Fax | 816-781-3542
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Provider Business Mailing Address
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Address Line | 11900 PENNSYLVANIA AVE
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City | KANSAS CITY
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State | MO
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Zip | 64145-1004
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Country | US
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Telephone | 816-942-6587
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2002025419
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License Number State | MO
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